IMG Information

New Producer Contracting

IMG New Producer Contracting

Please complete the form below to contract with IMG in order to sell our international insurance plans. If you are already contracted with IMG and need access to our online Producer Area, please go to the "New User Registration Form".

Please note, this is only for licensed insurance agents. If you are a current policy holder and wish to manage your insurance plan, please go to MyIMG.

Based on the previous selection, the following information is required:

D/b/a name, if any

Country of Formation/Incorporation *

State of Formation/Incorporation

Other, Describe *

For Tax Reporting Purposes, use the following:

Federal Employer Tax ID

Social Security Number

COMPENSATION SCHEDULE - AGENT
PRODUCER, INDIVIDUAL INSURANCE PRODUCTS

Commissions and renewal commissions equal to the percentages shown shall apply to premiums received on Certificates placed in force under this Producer Agreement (Agent) during the effectiveness of this Schedule, excluding applicable taxes, if any. Commissions and renewal commissions, bonuses or other compensation which IMG pays directly to Sub-Producers or their executors, administrators, surviving spouses, or estates.

Commission (%)
Certificate Year 1

Renewal commissions (%)
Certificate Years 2 plus

Patriot Series

10

N/A

Global Series

15

5

GEO / GEM

6 (Dental 4%)

6 (Dental 4%)

Monthly Commissions are calculated using the following formula:

Monthly Gross Premium

-

Applicable Surplus Lines Taxes

X

Commission Percentage

=

Gross Commission

Please check this box to indicate that you have read, understand and agree to the above terms and conditions of the IMG Producer Agreement. I agree to submit to IMG a copy of my current State Insurance License.

Please check this box to allow IMG to send important information to the email address listed above regarding IMG and its products. If you would not like to receive email messages from IMG, then uncheck this box.

Note: Notifications of orders placed through IMG's online applications under your IMG Producer Number will be sent to the email address listed above, even if this box is not checked.
If you become an IMG Affiliate, these confirmations will instead be sent to your affiliate email address. By requesting access to the IMG Producer Area, you agree to receive these email notifications.